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Organization
PIERCE LA SIERRA DENTAL GROUP INC
Active
Organization
PIERCE LA SIERRA DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M ALIJANI (VICE PRESIDENT)
(951) 688-0082
Entity
Organization
Contact information
Practice address
5427 SOUTH SEPULVEDA BLVD, SUITE A, CULVER CITY, CA 90230
(310) 398-1622
(310) 398-1610
Mailing address
3950 PIERCE STREET, SUITE L, RIVERSIDE, CA 92505
(951) 688-0082
(951) 688-0501
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37313
CA
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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